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1992007702
JODY LYN BRAND
BETHEL, AK
NPI
1992007702
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: UT 6903328-6004)
Enumeration Date
2010-11-30
Last Update Date
2019-09-18
Business Address
MRS. JODY LYN BRAND LPC, NCC
1410 CALISTA DRIVE
BETHEL, AK 99559-0528
Phone number: 907-543-6730
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Mailing Address
MRS. JODY LYN BRAND LPC, NCC
410 NORTH 100 EAST P.O. BOX 440219
KOOSHAREM, UT 84744-0219
Phone number: 435-638-7373
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